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    ATI Mental Health Assessment Proctored Exam (Capstone)

    A nurse is providing counseling to a client who has substance use disorder. Exhibits The nurse is discussing the client's concerns regarding relapse. Which of the following client statements indicates the client is adhering to the relapse prevention plan? (Select all that apply)

    Explanation & Rationale

    A. "I can manage it if I just cut down on the drinking." This statement reflects denial and a lack of commitment to sobriety. Controlled drinking is not a realistic goal for someone with substance use disorder, as the focus should be on complete abstinence. B. "I was angry at my friends for putting me in that situation, but I called my sponsor." This statement demonstrates adherence to the relapse prevention plan. Calling a sponsor is a key coping strategy in 12-step programs like Alcoholics Anonymous (AA), helping the client seek support instead of relapsing. C. "I just don't feel like myself and I don’t know who this new person is." This reflects emotional distress and uncertainty about sobriety, which can indicate a higher risk of relapse. While it is a common feeling in early recovery, it does not show active commitment to relapse prevention. D. "I’m not sure I can manage staying sober." This expresses doubt and lack of confidence in long-term sobriety, suggesting the client may still be struggling with commitment to change. This is a warning sign rather than an indicator of relapse prevention success. E. "I’ve quit drinking plenty of times before. I don’t want to give it up for good." This statement shows ambivalence about quitting alcohol permanently, which contradicts the goal of maintaining sobriety. A relapse prevention plan focuses on long-term abstinence, not temporary cessation.

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